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welcome my name is dr. Kim Connelly and its my pleasure to present to you the 2018 diabetes Canada clinical practice guideline update with the chapter focusing on treatment of diabetes in people with heart failure I would like to acknowledge the hard work of my co-authors professor richard gilbert and professor peter lu key changes in the 2018 heart failure update include new information on the use of dpp-4 inhibitors and glp-1 receptor agonists in people with type 2 diabetes and heart failure well discuss the role of sglt2 inhibitors in patients with established cardiovascular disease to reduce heart failure hospitalization and discuss the role of Tsukuba trill valsartan combination therapy in patients with heart failure with a reduced ejection fraction known as heifer F typically defined as an ejection fraction less than 40 percent when considering the checklist in patients with diabetes and heart fire the phone should be considered firstly treat heart fair and people with diabetes